Individual
DANIELLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-4229
Mailing address
2003 TALANS DR, CHAMPAIGN, IL 61822-3658
(917) 239-3297
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.082271
IL
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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